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APPLICATIA FOR CONSTRUCTAN PERMIT <br />CITY OF EVERETT R BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT, VIA 98201 A (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: / O B;�2 r I . S Lt%• <br />�/� yL: oYl• 47. 1 <br />6C-r-P cog70cA,.Ct`-e'k %�...• S5 /lL r)XPJ $71ET �/Q yPoj l <br />OWYFR VN N pM �-/ V, %O L <br />TDAANI VIA NIGRIS p% RR <br />AACKICIOAMPOWP - AAt AMMSS UM <br />54"MAILG _ _ <br />"MI CdINCrM VM ApRRFt all PP ARM FIAf11KTN4r <br />NCxwC4 Cflxq•CIOR 4.1 NO45f pM1 la %qHI Sn1i 1K[NSF• <br />M UAwllq[ONIRgIIT VAR ADDM 11 GM1 IN, TVryR HANIKFNSiA <br />COIIR•CI RICF DI %M4 <br />HEATING SYSTEM: OA8 ❑ELECTRIC ❑ <br />q IVDIIM ANISWAq fOOI.OF NMIND <br /><OMI•Ci%PSONAM AIpR MO <br />LII 271y <br />1I•A_ (.YM-IL U <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVIS*NS OF LAWS AND ORDINANCES GOVERNING THIS TV rE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREN OR <br />NOT. THE GRANTING MF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLAI E OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TILE <br />PERFORMANCE OF CONSTRUC :ION THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 CW AND 296200 WAC <br />X /I�LJ S� <br />INloFrnf <br />)FOAL:) MPVMOF %IpTRM1 RflQra mACx f.OMfw <br />LDr �_ <br />n AA!XPArk-Wr BM 000 oze 30j <br />R IAA ID NMRR <br />CdtrgKTIDM IO•MI[MDFR ARpIESI. nI[AKMF MRAfR <br />A:DN•I1H Wif <br />GIr w1«1LSt IKFHfI xO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUTPMENT <br />FEE <br />"Z <br />WATER CLOSET (TOILET) <br />AM—A4INDLGUMTS <br />—�— <br />BATHTUB <br />FORCED AIR SYSTEMS <br />Z <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE MOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT MOOD BURNING) <br />FLOOR DRAIN <br />I GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK(SERVICE — BAR, ETC.) <br />I <br />OAS PIPING <br />_ <br />EXHAUST FA'1 <br />1 <br />I <br />I <br />SLID TOTAL S <br />BUD TOTAL E <br />PERMIT E <br />I <br />PERMIT E <br />TOTAL FEE S <br />TOTALFEE E <br />FOR OFFICE USE ONLY: <br />HNI41pTW. <br />Zm <br />WAIMILICA <br />Zo <br />Mufo" <br />S <br />MANORCINMIFR ITFf <br />gffll'r ND <br />ML loaf (`'f <br />IOIAMA <br />reveyl wR <br />D«D <br />FEES <br />VALUATION <br />E <br />«KDgR <br />_ <br />B7 %er <br />NKRIrIMruRw <br />I <br />lu aDwFygo <br />unrR / <br />«Rawoall <br />14 Sz/rolgo S.f <br />n1A1RaO <br />U� �00 <br />DCI;IIMN:Y MTMf„MS <br />OLLIhM11Mll FN1NN1 <br />NFM•N'A1 <br />O L <br />•Rdrl(WY MwfXd <br />IRN 9R«Ml[R qpp �— <br />q•!IfN <br />OINK <br />lVl <br />ROD <br />O <br />gASOr <br />blHf «f111M1 LIgWRM <br />/�� <br />M1%groxt� <br />—A( <br />Mu,AAmrolTDln <br />(Alt 2 9 <br />CITYOFEVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />MwK xYRRA <br />TOTAL <br />